浙江临床医学
浙江臨床醫學
절강림상의학
ZHEJIANG CLINICAL MEDICAL JOURNAL
2013年
10期
1471-1473
,共3页
感染性心内膜炎%心脏外科手术%瓣膜置换%抗生素
感染性心內膜炎%心髒外科手術%瓣膜置換%抗生素
감염성심내막염%심장외과수술%판막치환%항생소
Infective endocarditis%Surgical treatment%Therapeutic effect
目的:总结感染性心内膜炎外科治疗的临床经验,更好地指导临床工作中诊断和治疗。方法回顾性分析62例经外科手术治疗的感染性心内膜炎患者临床资料。结果术后55例治愈出院,随访3个月~5年,无复发,心功能(NYHA)恢复I~II级;术后住院时间死亡7例。结论感染性心内膜炎早期诊断、适时手术,术中无菌操作和彻底清除赘生物、矫治心内畸形或病变,术后合理应用抗生素,是成功治疗感染性心内膜炎的关键。
目的:總結感染性心內膜炎外科治療的臨床經驗,更好地指導臨床工作中診斷和治療。方法迴顧性分析62例經外科手術治療的感染性心內膜炎患者臨床資料。結果術後55例治愈齣院,隨訪3箇月~5年,無複髮,心功能(NYHA)恢複I~II級;術後住院時間死亡7例。結論感染性心內膜炎早期診斷、適時手術,術中無菌操作和徹底清除贅生物、矯治心內畸形或病變,術後閤理應用抗生素,是成功治療感染性心內膜炎的關鍵。
목적:총결감염성심내막염외과치료적림상경험,경호지지도림상공작중진단화치료。방법회고성분석62례경외과수술치료적감염성심내막염환자림상자료。결과술후55례치유출원,수방3개월~5년,무복발,심공능(NYHA)회복I~II급;술후주원시간사망7례。결론감염성심내막염조기진단、괄시수술,술중무균조작화철저청제췌생물、교치심내기형혹병변,술후합리응용항생소,시성공치료감염성심내막염적관건。
Objective To explore the clinical experience for the surgical treatment of infective endocarditis. Methods 62 cases of infective endocarditis who were treated with surgery were retrospectively reviewed. Results 55 were cured and discharged, no recurrency was found among them within the follow up of 3 months to 5 years. The cardial function (NYHA) recovered to I~II grade, 7 cases died during the hospital stay. Conclusion An early diagnosis, an operation at proper timing, sterile operation, a complete removal of excrescence, treatment the intracardial abnormalities and lesions and rational use of antibaitices are the key for a success of surgical treatment of infective endocarditis.